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Non-Group Health Insurance Market, Task Force to Study the,
provisions repealed.........................................................................
Nurse midwife or other nonphysician provider of obstetric and
gynecological services, direct access by women to services
Prescription drug subsidy plan for Medicare Plus Choice eligible
persons living in medically underserved counties, funded by
insurers that receive a hospital rate differential for participation
in Substantial, Affordable, and Available Coverage Program,
Private review agents, administrative and enforcement oversight
and utilization review requirements, provisions altered ............
Provider panels, provision of member information to prospective,
new, and existing enrollees, requirements altered ......................
Rate of reimbursement to non-contracting health care providers,
Retroactive denial of reimbursement to health care providers by
Risk based capital requirements, application to managed care
organizations and health insurers, provisions added..................
Small group market health insurance, small employer eligibility,
criteria for determining employees, minimum participation and
renewal requirements, altered; report on group size effect on
HMO and PPO delivery systems and study on high deductible
health benefit plan for small employers, required ......................
Standing referral to obstetrician for pregnancy, requirements
State health plan, Medicaid, and welfare fraud, provisions revised
Subrogation to cause of action of a subscriber against another
person, contract between health maintenance organization and
subscriber authorized to contain provision for; reflection of
subrogation provision in rating methodology, required...............
Uniform claims forms and attachments, clean claims,
documentation of claims filing procedures, and prompt claim
payment, provisions altered; State Uniform Billing Committee,
creation to advise in development of claims regulations,
Waiting period or surcharge in lieu of preexisting condition
provision, provisions repealed; special enrollment period,
requirements added; plan cancellation or refusal to renew,
Health Occupations - -
Advance medical directives, documentation of substance of oral
advance directive or oral revocation of advance directive in
Assisted suicide, emergency medical services providers included in
definition of licensed health care professional for purposes of
prohibitions concerning..................................................................
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16
320
402
565
123
279
275
248
331
400
359
259
569
410
32
553
106
|
170
1909
2196
2993
744
1649
1632
1543
1978
2187
2054
1582
3018
2242
379
2904
719
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